Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,506.00 / $3,149.00 / $10,651.00	Facility		$2,506.00	$3,149.00	$10,651.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,586.00 / $7,613.00 / $13,400.83	Facility		$4,586.00	$7,613.00	$13,400.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,806.52 / $2,530.00	Facility		$800.00	$1,806.52	$2,530.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $176.72 / $176.72 / $176.72	Facility	AS	$176.72	$176.72	$176.72
Denver HMP Facility/Professional Facility Modifier Low / Median / High Price $1,559.75 / $2,039.96 / $2,686.85	Facility		$1,559.75	$2,039.96	$2,686.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,842.41 / $2,303.01 / $3,224.21	Professional		$1,842.41	$2,303.01	$3,224.21
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,579.37 / $2,579.37 / $2,579.37	Professional	22	$2,579.37	$2,579.37	$2,579.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $49.13 / $49.13 / $49.13	Professional	80	$49.13	$49.13	$49.13
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.76 / $41.76 / $41.76	Professional	AS	$41.76	$41.76	$41.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $5,540.00 / $12,740.00	Facility		$1,115.00	$5,540.00	$12,740.00